Understanding Health Insurance (Book Only) / Edition 11

Understanding Health Insurance (Book Only) / Edition 11

2.4 10
by Michelle A. Green
     
 

ISBN-10: 1133283861

ISBN-13: 9781133283867

Pub. Date: 01/27/2012

Publisher: Cengage Learning


Updated with the latest code sets, guidelines, and claim forms, UNDERSTANDING HEALTH INSURANCE, Eleventh Edition provides readers with most current information on health insurance billing and reimbursement available on the market. Comprehensive and easy to understand, this book covers important topics in the field including managed health care, legal and…  See more details below

Overview


Updated with the latest code sets, guidelines, and claim forms, UNDERSTANDING HEALTH INSURANCE, Eleventh Edition provides readers with most current information on health insurance billing and reimbursement available on the market. Comprehensive and easy to understand, this book covers important topics in the field including managed health care, legal and regulatory issues, coding systems, reimbursement methods, coding for medical necessity, and common health insurance plans. The eleventh edition has been updated to include relevant topics such as new legislation that affects health care, implementing the electronic health record, the Medical Integrity Program (MIP), medical review process, and release of information. With exercises in each chapter, an accompanying workbook, and access to free software programs, readers will have multiple opportunities to test their knowledge and apply what they've learned.

Product Details

ISBN-13:
9781133283867
Publisher:
Cengage Learning
Publication date:
01/27/2012
Edition description:
Older Edition
Pages:
832
Product dimensions:
8.50(w) x 10.80(h) x 1.30(d)

Table of Contents


1. Health Insurance Specialist Career. 2. Introduction to Health Insurance. 3. Managed Health Care. 4. Processing an Insurance Claim. 5. Legal and Regulatory Issues. 6. ICD-10-CM Coding. 7. CPT Coding. 8. HCPCS Level II Coding. 9. CMS Reimbursement Methodologies. 10. Coding for Medical Necessity. 11. Essential CMS-1500 Claim Instructions. 12. Commercial Insurance. 13. Blue Cross Blue Shield. 14. Medicare. 15. Medicaid. 16. TRICARE. 17. Workers' Compensation. Appendices. Bibliography. Glossary. Index.

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